Division of Hospital Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
Division of Cardiology, Department of Medicine, University of Washington, Seattle, WA, USA.
Sports Med. 2023 Aug;53(8):1527-1536. doi: 10.1007/s40279-023-01873-6. Epub 2023 Jun 29.
Since the nationally televised cardiac arrest of American National Football League player Damar Hamlin in January 2023, commotio cordis has come to the forefront of public attention. Commotio cordis is defined as sudden cardiac arrest due to direct trauma to the precordium resulting in ventricular fibrillation or ventricular tachycardia. While the precise incidence of commotio cordis is not known due to a lack of standardized, mandated reporting, it is the third most common cause of sudden cardiac death in young athletes, with more than 75% of cases occurring during organized and recreational sporting events. Given that survival is closely tied to how quickly victims receive cardiopulmonary resuscitation and defibrillation, it is crucial to raise awareness of commotio cordis so that athletic trainers, coaches, team physicians, and emergency medical personnel can rapidly diagnose and treat this often-fatal condition. Broader distribution of automated external defibrillators in sporting facilities as well as increased presence of medical personnel during sporting events would also likely lead to higher survival rates.
自 2023 年 1 月美国国家橄榄球联盟球员达马尔·哈姆林(Damar Hamlin)在全国电视转播的心脏骤停事件以来,震荡性心搏骤停已成为公众关注的焦点。震荡性心搏骤停是指由于直接创伤前胸部导致心室颤动或室性心动过速而引起的心脏骤停。由于缺乏标准化、强制性报告,因此确切的震荡性心搏骤停发生率尚不清楚,但它是年轻运动员中导致心源性猝死的第三大常见原因,超过 75%的病例发生在有组织和娱乐性体育赛事中。鉴于受害者接受心肺复苏和除颤的速度与生存密切相关,因此提高对震荡性心搏骤停的认识至关重要,以便运动训练员、教练、队医和急救医务人员能够迅速诊断和治疗这种常常致命的病症。在体育设施中更广泛地分发自动体外除颤器以及在体育赛事中增加医务人员的存在,也可能会导致更高的生存率。